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1205246964
ALFRED EDWARD SMITH
VIRGINIA BEACH, VA
NPI
1205246964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: VA 0019012425)
Enumeration Date
2014-05-04
Last Update Date
2016-07-23
Business Address
-- ALFRED EDWARD SMITH CMT
1645 LASKIN RD SUITE 104
VIRGINIA BEACH, VA 23451-6199
Phone number: 757-240-6049
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Mailing Address
-- ALFRED EDWARD SMITH CMT
1645 LASKIN RD SUITE 104
VIRGINIA BEACH, VA 23451-6199
Phone number: 757-240-6049
Copy
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